Cell Biology Unit, Department of Biology , University of Padova , Padova , Italy.
Drug Delivery Laboratory, Department of Pharmacy , University of Napoli Federico II , Napoli , Italy.
Mol Pharm. 2018 Oct 1;15(10):4599-4611. doi: 10.1021/acs.molpharmaceut.8b00597. Epub 2018 Sep 7.
Cancer therapies based on the combinations of different drugs and/or treatment modalities are emerging as important strategies for increasing efficacy and cure, decreasing unwanted toxicity, and overcoming drug resistance, provided that optimized drug concentration ratios are delivered into the target tissue. To these purposes, delivery systems such as nanoparticles (NPs) offer the unique opportunity to finely tune the drug loading and the release rate of drug combinations in the target tissues. Here, we propose double-layered polymeric NPs for the delivery of the chemotherapeutic docetaxel (DTX) and the photosensitizer disulfonate tetraphenyl chlorin (TPCS2a) coated with hyaluronic acid (HA), which allows cell targeting via CD44 receptors. The simultaneous delivery of the two drugs aims at killing DTX-sensitive (HeLa-P, MDA-MB-231) and DTX-resistant (HeLa-R) cancer cells by combining chemotherapy and photodynamic therapy (PDT). Using the Chou and Talalay method that analyses drug interactions and calculates combination index (CI) using the median-effect principle, we compared the efficiency of DTX chemotherapy combined with TPCS2a-PDT for drugs delivered in the standard solvents, coloaded in the same NP (DTX/TPCS2a-NP) or loaded in separate NPs (DTX-NPs + TPCS2a-NPs). Along with the drug interaction studies, we gained insight into cell death mechanisms after combo-therapy and into the extent of TPCS2a intracellular uptake and localization. In all cell lines considered, the analysis of the viability data revealed synergistic drug/treatment interaction especially when DTX and TPCS2a were delivered to cells coloaded in the same NPs despite the reduced PS uptake measured in the presence of the delivery systems. In fact, while the combinations of the free drugs or drugs in separate NPs gave slight synergism (CI < 1) only at doses killing more than 50% of the cells, the combination of drugs in one NPs gave high synergism also at doses killing 10-20% of the cells. Furthermore, the DTX dose in the combination DTX/TPCS2a-NPs could be reduced by ∼2.6- and 10.7-fold in HeLa-P and MDA-MB-231, respectively. Importantly, drug codelivery in NPs was very efficient in inducing cell mortality also in DTX resistant HeLa-R cells overexpressing P-glycoprotein 1 in which the dose of the chemotherapeutic can be reduced by more than 100 times using DTX/TPCS2a-NPs. Overall, our data demonstrate that the protocol for the preparation of HA-targeted double layer polymeric NPs allows to control the concentration ratio of coloaded drugs and the delivery of the transported drugs for obtaining a highly synergistic interaction combining DTX-chemotherapy and TPCS2a-PDT.
基于不同药物和/或治疗方式组合的癌症疗法正在成为提高疗效和治愈率、降低不必要毒性以及克服耐药性的重要策略,前提是将优化的药物浓度比递送到目标组织中。为此,纳米颗粒 (NPs) 等递送系统为精细调整药物组合在目标组织中的药物负载和释放速率提供了独特的机会。在这里,我们提出了双层聚合物 NPs,用于递送化疗药物多西他赛 (DTX) 和光敏剂 disulfonate 四苯基氯 (TPCS2a),并用透明质酸 (HA) 包裹,HA 允许通过 CD44 受体进行细胞靶向。两种药物的同时递送旨在通过化疗和光动力疗法 (PDT) 的联合使用来杀死 DTX 敏感 (HeLa-P、MDA-MB-231) 和 DTX 耐药 (HeLa-R) 癌细胞。我们使用 Chou 和 Talalay 方法分析药物相互作用并使用中值效应原理计算组合指数 (CI),该方法比较了以标准溶剂递送的药物、在同一 NP 中共载药 (DTX/TPCS2a-NP) 或在单独的 NPs 中载药 (DTX-NPs+TPCS2a-NPs) 的 DTX 化疗联合 TPCS2a-PDT 的效率。除了药物相互作用研究外,我们还深入了解了联合治疗后的细胞死亡机制以及 TPCS2a 的细胞内摄取和定位程度。在所考虑的所有细胞系中,活力数据分析显示出协同药物/治疗相互作用,尤其是当 DTX 和 TPCS2a 共载于同一 NPs 中递送到细胞时,尽管在存在递送系统的情况下测量到 PS 摄取减少。事实上,虽然游离药物或单独 NPs 中的药物组合仅在杀死超过 50%细胞的剂量下产生轻微协同作用 (CI<1),但在一个 NPs 中载药的药物组合在杀死 10-20%细胞的剂量下也能产生高协同作用。此外,在 DTX/TPCS2a-NPs 中的组合 DTX 剂量可以在 HeLa-P 和 MDA-MB-231 中分别降低约 2.6 倍和 10.7 倍。重要的是,NP 中药物共递药在过表达 P-糖蛋白 1 的 DTX 耐药 HeLa-R 细胞中也非常有效地诱导细胞死亡,其中使用 DTX/TPCS2a-NPs 可以将化疗药物的剂量降低 100 倍以上。总体而言,我们的数据表明,HA 靶向双层聚合物 NPs 的制备方案允许控制共载药物的浓度比,并控制运输药物的递送,从而获得结合 DTX 化疗和 TPCS2a-PDT 的高度协同作用。
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